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Клінічне і прогностичне значення розладів локального імунітету при сальмонельозі у дітей раннього віку та можливості їх корекції: Автореф. дис… канд

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21

I?i?noa?noai ioi?iie caei?ia’y Oe?a?ie

Ee?anueeee iaoeiai-aeine?aeiee ?inoeooo

ai?aeai?ieia?? oa ?ioaeoe?eieo oai?ia

?i. E.A.A?iiaoaanueeiai

I?IEII?A

Ieaenaiae?a Aieiaeeie??aia

OAeE: 616.981.49–053.3–092.19–037

Ee?i?/ia ? i?iaiinoe/ia cia/aiiy ?iceaae?a eieaeueiiai ?ioi?oaoo

i?e naeueiiiaeueic? o ae?oae ?aiiueiai a?eo

oa iiaeeeaino? ?o ei?aeoe??

14.01.13 – ?ioaeoe?ei? oai?iae

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoe?y ? ?oeiien

?iaioa aeeiiaia a Euea?anueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao?
?i. Aeaieea Aaeeoeueeiai IIC Oe?a?ie.

Iaoeiaee ea??aiee:aeieoi? iaaee/ieo iaoe, i?ioani?

E?aia??a Na?a?e Ieaenaiae?iae/,

Iaoe?iiaeueiee iaaee/iee oi?aa?neoao

?i. aeaae. I.I.Aiaiiieueoey IIC Oe?a?ie,

caa. eaoaae?e aeeoy/eo ?ioaeoe?eieo oai?ia

Io?oe?ei? iiiiaioe:aeieoi? iaaee/ieo iaoe, i?ioani?

*a?ieoiaa Ethaeieea ?aai?aia,

Ee?anueea aeaaeai?y i?neyaeeieiiii? ina?oe ?i. I.E.Ooeeieea IIC
Oe?a?ie,

caa. eaoaae?e aeeoy/eo ?ioaeoe?eieo oai?ia

Caneoaeaiee ae?y/ iaoee ? oaoi?ee Oe?a?ie,

aeieoi? iaaee/ieo iaoe, i?ioani?

Ieoaeeiaa Aca Ieoaee?aia,

Iaeanueeee aea?aeaaiee iaaee/iee oi?aa?neoao IIC Oe?a?ie,

caa. eaoaae?e aeeoy/eo ?ioaeoe?eieo oai?ia

I?ia?aeia onoaiiaa:

Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao

Caoeno a?aeaoaeaoueny “27” n?/iy 2000 ?. ia 11 aiae. ia can?aeaii?
Niaoe?ae?ciaaii? a/aii? ?aaee Ae.26.614.01 i?e Ee?anueeiio
iaoeiai-aeine?aeiiio ?inoeooo? ai?aeai?ieia?? oa ?ioaeoe?eieo oai?ia ii.
E.A.A?iiaoaanueeiai IIC Oe?a?ie (252150, i.Ee?a, aoe. N?/iaaiai
iianoaiiy, 23).

C aeena?oaoe??th iiaeia iciaeiieoenue a a?ae?ioaoe? EIAe?A?O IIC Oe?a?ie
(252150, i.Ee?a, aoe. N?/iaaiai iianoaiiy, 23).

Aaoi?aoa?ao ?ic?neaiee “25” a?oaeiy 1999 ?.

A/aiee nae?aoa?

Ciaoe?ae?ciaaii? a/aii? ?aaee,

aeieoi? iaaee/ieo iaoe
A.Ae.Aiae

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie. Oi?iaeiaae inoaiiueiai aeanyoe??//y a Oe?a?i?
iieacieee caoai?thaaiino? ia aino?? eeoeia? ?ioaeoe?? (AE?)
caeeoathoueny aenieeie, oo?eio?oueny /?oea oaiaeaioe?y aei iaaieiiiai
?inoo caoai?thaaiino? ia naeueiiiaeueic (A.I.Ua?a?inueea, 1995;
A.O.Ia???anueeee, 1996; N.I.E?aia??a, 1997, 1998; E.?.*a?ieoiaa,
1998), ui iaaoa cia/iiai iioe?aiiy c na?aaeeie 80-o ?ie?a
(A.I.Ca-?eoeueeee, 1988). A oiiaao no/anieo aeiiii?/ieo oa aeieia?/ieo
iaaa- ?acae?a naeueiiiaeueic iaeiaaacia/i?oee aeey ae?oae ?aiiueiai
a?eo. Aaeaea, e??i iac??eino? iaoai?ci?a ?ioiieia?/iiai caoenoo
oa iania- oeeo?/ii? ?acenoaioiino? i?aai?cio, ui aecia/a? noeeuei?noue
aei caoai-?thaaiiy ae?oae ?aiiueiai a?eo ia naeueiiiaeueic ? cia/io
/anoioo ?ic- aeoeo o ieo oyaeeeo oi?i oai?iae, naia a oeueiio
a?oe? iaea?eueo a?ae/ooiee aieea iaaaoeaieo /eiiee?a aeiae?eey ia
ii??i?noue i?aai?cio (TH.A.Aa?ooaei, 1996,1998). Ianieyoeea? aeieia?/i?
/eiieee co- iiaeththoue nooo?a? ?iceaaee caaaeueiiai oa i?noeaaiai
?ioi?oaoo (TH.A.Aaeueoeuaa, A.A.Oienaaa, 1992), ?icaeoie
?ioiiaeao?oeeoieo noai?a (A.Ae?aii?e, 1996), ii?ooaiiy ooieoe??
a?noiaaiaoe/ieo aa?’???a (TH.A.Aa?ooaei c? ni?aaao., 1995). Ca oaeeo
ia?aaeoiia /anoioa oyae- eeo oi?i naeueiiiaeueico c ?icaeoeii
a?iiaieai?/iiai oieo ca?eueoo- ?oueny ia eeoa o ae?oae, aea e o
aei?ineeo (AE.E.Aiceaiiaa, A.E.E?aa- /aiei, 1990), cia/iiai iioe?aiiy
iaaoaathoue anioe?eiaai? oi?ie oai- ?iae, neeaaeiaeie yeeo ?
oiiaii-iaoiaaii? aaeoa???, iineeth?oueny ?ecee iicaeeoeiai?
o?aineieaoe?? caoaeiee?a oai?iae ? ?icaeoeo ?ioaeoe?eii-oiene/iiai
oieo.

Oni?o e?eoaaiiy naeueiiiaeueico aaeeeith i??ith aecia/a?oueny
nai?/aniith ?iaeoeaaoe??th oiene/ieo noanoaioe?e caoaeieea oai?iae, ui
caii/aoeiaothoue ye i?noeaa? ci?ie ia ??ai? neeciai? iaieiiee eeoie,
oae ? caaaeuei?, iiina?aaeeiaai? a?ieia?/ii aeoeaieie ?a/iaeiaie
(N.A.E?aia?aa, 1991). Aeioe?euei?noue ca’ycoaaiiy oienei?a aaciina?aae-
iuei a i?ina?o? eeoie, ye i?e naeueiiiaeueic?, oae ? ?ioeo AE?,
aacia?a- /ia. C oe??th iaoith i?e AE? a inoaii? ?iee oni?oii
canoiniaothoueny aioa?ini?aaioe, ye o aei?ineeo (I.A.Aiae?ae/ei c?
ni?aaao., 1991, 1992, 1998; A.A.Aaaao c? ni?aaao., 1992, 1997;
E.A.I?eiea?aa, 1993), oae ? ae?oae (A.?.Iinothe c? ni?aaao.,
1988, 1991; E.A.Aieyinueea, 1998; ?.E.Ai??oiy, 1998, 1999).

Ine?eueee i?e naeueiiiaeueic? i?noeai aaciina?aaeiueiai eiioaeoo c
canoiniaaiei aioa?ini?aaioii ? o?aaeai? eeoee, aea cina?aaeaeaii
aeecueei iieiaeie e?ioi?aeii? oeaieie i?aai?cio, caneoaiao? ia oaaao
aea/aiiy aieeao i?aia?aoo ia iaoai?cie eieaeueiiai ?ioiieia?/iiai
caoenoo. Aaeaea i?e aacia?a/iino? aca?iica’yceo an?o eaiie ?ioiii?
nenoaie aeania i?e AE? noaiii eieaeueiiai ?ioi?oaoo cia/iith i??ith
aecia/a?oueny ?icaeoie ? ia?aa?a oai?iae. Eieae?ciaai? a i?aeai?oa-
e?aeueieo i?inoi?ao neeciai? iaieiiee eeoie O-e?ioioeeoe (Mc. Der-
mott R.P., 1986) i?ae aieeaii aioeaaiieo iiae?aciee?a ?iaeoeothoue nei-
oac iiiiia?ieo ?ioiiaeiaoe?i?a, aieiaiei /eiii IgA, a ieaciaoe/-
ieo ee?oeiao neeciai? iaieiiee eeoie, a ai?oae?aeueieo ee?oeiao yei?
neioaco?oueny a?eueiee nae?aoi?iee eiiiiiaio (ANE), iaiao?aeiee aeey
iaaeaiiy no?eeino? aei ae?? i?ioaie?oe/ieo oa?iaio?a eeoeiaiai ai?noo
aeeia?iiio nae?aoi?iiio ?ioiiaeiaoe?io A (SIgA). E??i oiai, i?e
naeueiiiaeueic? aei ?aae?caoe?? ?io?eoaaiiy oa ?icaeoeo ??cieo ??ai?a
?i-oaeoe?eiiai i?ioeano aaciina?aaeiuei i?e/aoi? iaeo?io?ee (A.O.Aeth-
aa? n niaao., 1975), ui ia?oeie i?a?othoue a ciio o?aaeaiiy i?e
i?i?iaeueieo ?iceaaeao eieaeueiiai aiiainoaco. Ioaea, ?ioiieia?/iee
caoeno oa oeeoii?ioaeoeaia ni?iiiaei?noue neeciai? iaieiiee eeoie
i?e naeueiiiaeueic? caaacia/o?oueny, ianaiia?aae, SIgA oa oaaioeeoa?-
iith nenoaiith caoenoo iaeo?io?e?a. I?e aiae?c? aeaieo e?oa?aoo?e c
ieoaiue ?iceaae?a ?ioiieia?/iiai aiiainoaco o oai?eo ia
naeueiiiaeueic i?eaa?oa? oaaao cia/ia i?aaaethaaiiy iaoeiaeo
aeine?aeaeaiue, ui aa- cothoueny ia aea/aii? nenoaiiiai ?ioi?oaoo. Ca
iayaiino? /eneaiieo ioae?eaoe?e uiaei aoaeoeaiino? aioa?ini?aoe?? i?e
AE?, aeeth/ath/e naeueiiiaeueic, caeeoathoueny ia aea/aieie iaoai?cie
aieeao aioa?i-ni?aaio?a ia eieaeueiee ?ioi?oao oa oeeoii?ioaeoeaio
ni?iiiaei?noue neeciai? iaieiiee eeoie. Aeuaaeeeaaeai? aeai? aecia/eee
iaoo ? ca- aaeaiiy aeaiiai aeine?aeaeaiiy.

Cay’cie ?iaioe c iaoeiaeie i?ia?aiaie. Aeena?oaoe?eia ?iaioa ?
o?aaiaioii eiiieaenii? iaoeiai-aeine?aeii? ?iaioe eaoaae?e aeeoy/eo
?ioaeoe?eieo oai?ia Euea?anueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo
“?ic?iaea iiaeo iaoiae?a e?eoaaiiy aino?eo eeoeiaeo ?ioaeoe?e oa
a??onieo aaiaoeo?a o ae?oae ia iniia? aea/aiiy e?ea?nueeeo i?aia?ao?a
aoa?aioii? ei?aeoe?? ii?ooaiiai aiiainoaco oa iiaeoeyoe??
?ioiii? a?aeiia?ae?” (? Aea?ae?a?no?o 0195V009808).

Iaoa ?iaioe: aea/eoe aieea ?iceaaeia eieaeueiiai iioiioaoo oa
oee-oii?ioaeoeaii? ni?iiiaeiinoi neeciai? iaieiiee eeoie ia ia?aaia
naeueiiiaeueico o aeioae ?aiiueiai aieo i iiaeeeainoue ?o ei?aeoei?
canoi-noaaiiyi a eiiieaeniiio eieoaaiii aioa?ini?aaioa neeea?aea-I.

Iniiaii caaaeaiiy ?iaioe:

1. Aea/eoe iniaeeainoi eeiii/iiai ia?aaiao naeueiiiaeueico o aeioae
?aiiueiai aieo i aecia/eoe iioi?iaoeaiinoue aiinoo INI a ne?i-
aaooei e?iai ye ia?aeeiii/iiai oanoo iiaeeeaoei? nooiaiy
oieneei-ia-oaaiei/ieo c?ooaiue.

2. C’ynoaaoe aeaoa?iiiiaaiinoue nooiaiy oyaeeinoi oa aa?iaioa ia?aaiao
naeueiiiaeueico noaiii eieaeueiiai oa nenoaiiiai aoii?aeueiiai
iio-iioaoo.

3. Aeineiaeeoe ooieoeiiiaeueiee noai oaaioeeoa?ii? nenoaie caoenoo
iaeo?ioieia, aaciina?aaeiuei i?e/aoieo aei caaacia/aiiy oeeoii?i-
oaeoei? neeciai? iaieiiee eeoie.

4. A aeineiaeaeaiiyo in vitro c’ynoaaoe ianeiaeee aaciina?aaeiuei? aei?
nee- ea?aea-I ia caoaeieee iiiinaeueiiiaeueico oa anioeieiaaieo oi?i
oai?iae, /ooeeainoue ?o aei aioeaiioeeia.

5. Iaa?oiooaaoe aeioeieueiinoue i?iaaaeaiiy aeeoa?aioeieiaaieo aa?iaioia
aioa?ini?aoei? neeea?aeii-I i?e ?icieo aa?iaioao ia?aaiao
naeueii-iaeueico.

Iaoeiaa iiaecia io?eiaieo ?acoeueoaoia. Ia iiaenoaai aea/aiiy aiinoo a
eii?ioieueo?aoao SIgA, noieeiai aei aei? i?ioaieioe/ieo oa?- iaioia
eeoeiaiai aiinoo, oa aeineiaeaeaiiy oaaioeeoa?ii? aeoeaiinoi
iaeo?ioieia, ui ia?oeie iia?othoue a ciio o?aaeaiiy i?e iiiiiaeueieo
?iceaaeao eieaeueiiai aiiainoaco, aia?oa aeiaaaeaii aeaoa?iiiiaaiinoue
nooiaiy oyaeeinoi oa aa?iaioa ia?aaiao naeueiiiaeueico o aeioae ?aiiuei-
ai aieo oeeoii?ioaeoeaiith ni?iiiaeiinoth neeciai? iaieiiee
eeoie, ui caaacia/o?oueny, aieiaiei /eiii, iioiiaeiaoeiiaie
iinoeaai? aei? oa oaaioeeoa?iith nenoaiith caoenoo iaeo?ioieia.

Aea/aii eeiiiei-aiiaeaiiieiai/ii iniaeeainoi naeueiiiaeueico oa
ani-oeieiaaieo oi?i oai?iae o aeioae ?aiiueiai aieo. Ca aeaieie
a?aaeaoeieii? ioeiiee iaeaieueo iioi?iaoeaieo aeai?eiaeo eeiii/ieo
neiioiiia naeueiiiaeueico ?ic?iaeaii iioaa?aeueii iieacieee aecia/aiiy
nooiaiy oyaeeinoi oai?iae.

Aecia/aii /eiieee, ui coiiaeththoue iani?eyoeeaee ia?aaia
naeue-iiiaeueico. Ia oyaeeinoue eeiii/ieo oi?i naeueiiiaeueico oa
?icaeoie caoyaeiiai ia?aaiao oai?iae aaeeeith ii?ith aieeaathoue aeai-
oa o?e-eiiiiiaioii aaeoa?ieii anioeiaoei?, neeaaeiaeie yeeo ?
oiiaii-iaoiaaiii aaeoa?i?.

C’yniaaii, ui iioiiaeiaoeiie iinoeaai? aei? ni?eythoue eieaeicaoei?
aino?iai iioanoeiaeueiiai caiaeueiiai i?ioeano i iiia?aaeaeothoue
iica-eeoeiao o?aineieaoeith caoaeieeia iiiinaeueiiiaeueico oa
anioeieiaaieo oi?i oai?iae. Aeaoioeeo SIgA coiiaeth? caoyaeiee ia?aaia
naeueiiia- eueico.

Aeyaeaii aeenaaeain ooieoeiiioaaiiy oaaioeeoa?ii? nenoaie iae-o?ioieia,
ui aiaeaeca?eaeth? oyaeeinoue eeiii/ieo oi?i naeueiiiaeueico
oa i?iaiico? caoyaeiee ia?aaia oai?iae. Na?aae ia?aeeiii/ieo oanoia
iiaeeeaoei? oaaioeeoa?ii? iani?iiiaeiinoi iaeo?ioieia o oai?eo ia
naeueiiiaeueic aeiiiiothoue: eaeeiiaiiy, iaeo?iiaiiy, iecueei iieacieee
O*, cia/ia i noaaieueia cieaeaiiy aiinoo a iaeo?ioieao eaoiiiieo
aieeia.

?iaaiue iieaeoe na?aaeiuei? iane a ne?iaaooei e?iai – /ioeee
ia?a-eeiii/iee oano iiaeeeaoei? nooiaiy oieneei-iaoaaiei/ieo c?ooaiue i
aecia/aiiy oyaeeinoi eeiii/ieo oi?i naeueiiiaeueico, aea i?iaiinoe/-
iiai cia/aiiy uiaei oi?ioaaiiy aa??aioa ia?aaiao oai?iae ia ia?.

Aia?oa ?ic?iaeaii iaoiae aano?iaioa?ieieiiini?aoei? neeea?aeii- I i
aea/aii aaaaoia?aiio eeiii/io aoaeoeaiinoue i?aia?aoo i?e
naeue-iiiaeueic? o aeioae ?aiiueiai aieo. C’yniaaii, ui neeea?ae-I, e?ii
aeaoie-neeaoeieiiai aoaeoo, iiceoeaii aieeaa? ia eieaeueii iaoaiicie
iioii-eiai/iiai caoenoo, ui ?aaeiciaothoueny /a?ac SIgA oa OAI, iiia?a-
aeaeo? iicaeeoeiao o?aineieaoeith caoaeieeia iiiinaeueiiiaeueico
oa anioeieiaaieo oi?i oai?iae, ciaioo? o?eaaeinoue aaeoa?iiaeaeieaiiy.

A aeineiaeaeaiiyo in vitro aeiaaaeaii caeaoi?noue neeea?aea-I iiaeaeuo-
aaoe /ooeea?noue naeueiiiaee oa eeaani?ee (iae/anoioiai iie?iaa-ani-
oeiyioa anioeieiaaieo oi?i oai?iae) aei aioeaiioeeia oa ooi?oiiieiiia,
a?aenooi?noue aaeoa?iioeeaeii? aei? i?aia?aoo noiniaii oeeo aaeoa?ie.
Ciaioaiiy o?eaaeino? aaeoa??iaeae?eaiiy i?e canoinoaaii? a eii-ieaeniiio
e?eoaaii? oai?eo ia naeueiiiaeueic neeea?aea-I iiina?aae- eiaaia
iiceoeaiei aieeaii i?aia?aoo ia eieaeueiee iioiioao oa caeaoiinoth
eiai iiaeaeuoaaoe /ooeeainoue caoaeieeia iiiinaeueiiiaeueico oa
anioeieiaaieo oi?i oai?iae aei aioeaaeoa?ieieo na?aaeieeia.

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoaoia. ?ic?iaeaii, ai?i-aiaaii i
cai?iiiiiaaii oaaeeoeth iioaa?aeueieo iieacieeia ioeiiee noo- iaiy
oyaeeinoi eeiii/ieo oi?i naeueiiiaeueico. Ia?aaia naeueiiiaeueico
cia/iith ii?ith iaoyaeothoue aaeoa?ieii anioeiaoei?, neeaaeiaeie yeeo ?
oiiaii-iaoiaaiii aaeoa?i?. Ia?aaeoiiaith ?icaeoeo anioeieiaaieo oi?i
naeueiiiaeueico ? ?iceaaee eieaeueieo iaoaiiciia iioiieiai/iiai caoen-
oo oa ianiaoeeoi/ii? ?acenoaioiinoi i?aaiicio.

Iaa?oioiaaii aeioeieueiinoue aeeiaii/iiai aecia/aiiy aiinoo SIgA a
eii?ioieueo?aoao oa OAI, ye oanoia iiaeeeaoei? ?iceaaeia eieaeueiiai
ai-iainoaco, i?iaiicoaaiiy iani?eyoeeaiai ia?aaiao naeueiiiaeueico oa
ioeiiee aoaeoeaiinoi eieoaaiiy.

Aeey ei?aeoei? ?iceaaeia eieaeueiiai aiiainoaco oa iieiioaiiy
oeeoi-i?ioaeoeaii? ni?iiiaeiinoi neeciai? iaieiiee eeoie ?ic?iaeaii,
ai-?iaiaaii oa cai?iiiiiaaii aeeoa?aioeieiaaii aa?iaioe aioa?ini?aoei?
neeea?aeii-I. Aeey iieiioaiiy naiaoeieiiai aoaeoo aioeaaeoa?ieieo
na?aaeieeia i?e naeueiiiaeueici ?o neiae canoiniaoaaoe iaeii/anii c
i?eeiaiiyi ona?aaeeio neeea?aea-I. O oai?eo ia naeueiiiaeueic, ca
ia-yaiinoi iieacaiue, aeey i?iieaaiiy oeoiea i eeoie aeioeieueii
ei?enoo- aaoeny 0,05-0,1% caaenii neeea?aea-I.

Ai?iaaaeaeaiiy ?acoeueoaoia ?iaioe a i?aeoeeo. ?ic?iaeaii oa ai-?iaiaaii
iaoiaee eieoaaiiy oai?eo ia naeueiiiaeueic c canoinoaaiiyi
aeeoa?aioeieiaaieo iaoiaeia aioa?ini?aoei? neeea?aeii-I aoieaii a
i?aeoeeo iioaeoeieieo eiea?aiue Eueaianueei? oa Aieeinueei? iaeanoae.

?acoeueoaoe i?iaaaeaieo aeineiaeaeaiue aeei?enoiaothoueny a iaa/aeue-
iiio i?ioeani ia eaoaae?i aeeoy/eo iioaeoeieieo oai?ia Eueaianueeiai
aea?aeaaiiai iaaee/iiai oiiaa?neoaoo ii. Aeaieea Aaeeoeueeiai.

Iaoa?iaee ?iaioe aeeth/aii a iaoiaee/ii ?aeiiaiaeaoei? “Aioa?ini?-aaioe
a eieoaaiii oa i?ioieaeoeoei iioaeoeieieo oai?ia o aeioae” (ooaa-
eaii ?anioaeieainueeei oeaio?ii iaoeiai? iaaee/ii? iioi?iaoei? IIC
Oe?a?ie, 1991 ?.).

Iniaenoee aianie caeiaoaa/a. Aeena?oaioii naiinoieii caeieniaii
aiaeioe/iee iaeyae eioa?aoo?e ? aecia/aii iai?yiie iaoeiaiai
aeine?aeaeaiiy. I?iaaaeaii eeiii/ia ianoaaeaiiy oai?eo, oeieani?yiiaaii
aiioiii/ii, iioiieiai/ii oa niaoeiaeueii aeineiaeaeaiiy, noaoenoe/io ia-
?iaeo ?o /eneiaeo aeii?ia, ocaaaeueiaii ?acoeueoaoe, ?ic?iaeaii oa
ai-?iaiaaii ei?aeoeieii iaoiaee eieoaaiiy, iaa?oioiaaii aeniiaee oa
i?aeoe/ii ?aeiiaiaeaoei?. I?aeaioiaeaii iaoa??aee aeey ioae?eaoe??,
ioi?ieaii aeena?oaoe?th oa aaoi?aoa?ao.

Ai?iaaoeiy ?acoeueoaoia aeena?oaoei?. Iniiaii iieiaeaiiy ?iaioe
aeeeaaeaii ia XII Oe?a?inueeiio ?anioaeieainueeiio c’?caei iie?iaii-
eiaia, aiiaeaiiieiaia i ia?aceoieiaia (Oa?eia, 1991), neiiicioii
“Iaaee- ei-aiieiai/ii i?iaeaie oiii? iiaa?oii” (Ee?a, 1991),
iiaeia?iaeiie eii-oa?aioei? c i?iaeai iaaeeoeeie eaoano?io (Ee?a, 1992),
IV eiia?ani NOOEO (Oa?eia, 1992), IV c’?cae? iioaeoeiiiinoia Oe?a?ie
(Aiiieoey, 1993), iaoeia?e nan??, i?enay/ai?e 100-??//th eaoaae?e
o?c?ieia?? Euea?anueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo (Euea?a,
1995), V c’?cae? iioaeoeiiiinoia Oe?a?ie (Oa?iiiieue, 1998),
iaoeiai-i?aeoe/iie eiioa- ?aioei? i ieaioii Anioeiaoei?
iioaeoeiiiinoia Oe?a?ie (Eooeuee, 1999), ia- oeiaie eiioa?aioei?
“Canoinoaaiiy a iaaee/iie i?aeoeoei eiea?nueeeo i?aia?aoia (iieini?a,
neeea?ae, neeien, ienee o.i.) ia iniiai aenieiaeen-ia?niiai e?aiiacaio
oa iaoaiicie ?o aei?” (Aiiieoey, 1999).

Ioaeieaoei?. Ca oaiith aeena?oaoei? iioaeieiaaii 19 iaoeiaeo i?aoeue,
c ieo 4 noaooi – a aeo?iaeao, ?aeiiaiaeiaaieo AAE aeey ioaeieaoei?
iaoa?iaeia eaiaeeaeaonueeeo oa aeieoi?nueeeo aeena?oaoeie.

No?oeoo?a ? ianya aeena?oaoe??. Aeena?oaoe?y iiaoaeiaaia ca
caaaeueii-i?eeiyoei ieaiii ? neeaaea?oueny ?c anooio, iaeyaeo
e?oa?aoo?e, iaoa??ae?a oa iaoiae?a aeine?aeaeaiue, o?ueio
?icae?e?a aeanieo aeine?aeaeaiue, aiae?co oa ocaaaeueiaiiy ?acoeueoao?a
aeine?aeaeaiue, aeniiae?a, i?aeoe/- ieo ?aeiiaiaeaoe?e, nieneo
aeei?enoaieo aeaea?ae. ?iaioa aeeeaaeaia ia 144 noi??ieao
iaoeiiieniiai oaenoo (aac o?aooaaiiy a?ae?ia?ao??, ui i?noeoue 336
e?oa?aoo?ieo aeaea?ae), ?ethno?iaaia 21 oaaeeoeath, 4 ia-ethieaie,
aeaiia aeieneaie ?c ?noi??? oai?iae.

INIIAIEE CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiue. Niinoa?aaeaiiy i?iaaaeaii o 146
oai?eo ia naeueiiiaeueic ae?oae ia?oiai ?ieo aeeooy, ye? ciaoiaee-
eeny ia noaoe?iia?iiio e?eoaaii? a ee?i?/i? eioaeoe?ei?e e?ea?i?
i.Eueaiaa. I?e aea/aii? aiaiiaco aeeooy a?aoiaaii noeoii?noue aeaieo,
ui iiaee iaaaoeaii aieeiooe ia i?aii?a?aeio ?aaeoeai?noue i?aai?cio.
Uiaei ai?aeai?ieia?/iiai aiaiiaco aeoeaioiaaii oaaao ia aecia/aii?
nooiaiy a??ia?aeiino? aioo??oiueie?ea?iyiiai ?io?eoaaiiy.

Oyaee?noue caaaeueiiai noaio oai?iai ioe?ithaaee ca ?ioaineai?noth
i?iya?a ?ioieneeaoe?eiiai neiae?iio o ii?aeiaii? c aeeniaine/iei, noo-
iaiai aeneeico, iayai?noth iciae iae?ioieneeico, ?iceaae?a
i?e?ioee?-eoeyoe??, aaiiaeeiai?ee, na?oeaai-noaeeiii? oa aeeoaeueii?
iaaeinoaoiino?.

A aeeiai?oe? oai?iae i?iaiaeeeeny caaaeueiii?eeiyo? eaai?aoi?i?
aeine?aeaeaiiy: aaiia?aia, caaaeueiee aiae?c na/?, eii?ineii?/ia
aeine?-aeaeaiiy aeii?iaeiaiue.

Aeey c’ynoaaiiy ao?ieia?? AE? i?iaiaeeeenue aaeoa??ieia?/i?
aeine?-aeaeaiiy aeii?iaeiaiue, na/?, i?e iio?aa? e e?ia?, ia iaoiaaiio
eeoeiao oei?o, oiiaii- iaoiaaii? aioa?iaaeoa???, noao?eieiee, c
ianooiiei aecia/aiiyi /ooeeaino? aeae?eaieo aaeoa??e aei aioea?ioee?a.

Iaiao?aeiith oiiaith eiinoaoaoe?? ao?ieia?/ii? i?e/aoiino? oiiaii-
iaoiaaiieo aaeoa??e aei anioe?eiaaieo oi?i naeueiiiaeueico aoei ii-
aoi?ia, ia iaioa 2-o ?ac?a, aeae?eaiiy ?o c aeii?iaeiaiue a ia??iae?
iai?oanoaoe?? ee?i?/ieo i?iya?a oai?iae a eiioeaio?aoe?? 106 ? a?eueoa
i?e?ia?a a 1 a.

Ai?no INI a ne?iaaooe? e?ia? aecia/aee aeni?an-iaoiaeii I.?.Aaa-???eyia
c? ni?aaao. (1985) oa aaeue-o?iiaoia?ao?/iei ca E.A.Inoa?ia-
iii (1984).

Aeey aea/aiiy noaio eieaeueiiai ?ioi?oaoo, a eii?io?eueo?aoao, e??i IgA,
IgM oa IgG, aecia/aee ai?no nae?aoi?ieo ?ioiiaeiaoe?i?a A (ia- oiaeii
?ioiiaeeooc?? a aae? ca Iai/?i?). Aeey oieeiaiiy iiaeeeaeo oea- ieo
?acoeueoao?a aecia/aiiy ai?noo SIgA a eii?io?eueo?aoao i?iaiaee-
ee c aeaiia aioene?iaaoeaie: aei IgA oa SIgA. Noai nenoaiiiai
aoii-?aeueiiai ?ioi?oaoo a aeeiai?oe? oai?iae aecia/aee ca ai?noii
iniiaieo eean?a ?ioiiaeiaoe?i?a (I, A, G) a ne?iaaooe? e?ia?.

Aeey ioe?iee iiaeeiaeueii? aeoeaiino? iaeo?io?e?a aecia/aee
oaai-oeeoa?iee ?iaeaen (O?) ? oaaioeeoa?ia /enei (O*) ca aeaieie
iiaeeiaiiy a?aioe eaoaeno. Ieneaeaoe?eii-a?aeiiaio aeoeai?noue
iaeo?io?e?a – ?ioaineai?noue eenaiuecaeaaeiiai iaoaaie?cio, ioe?ithaaee
ca aeaieie oanoo a?aeiiaeaiiy i?o?ineiueiai oao?acie?th
(INO-oanoo). C eiiii- iaio?a ?io?aeaeeioeeoa?ieo i?e?iaioeeaeieo
nenoai, ui ae?thoue ia i?e?ia aac o/ano? eenith, aecia/aee
e?ciniiaeuei? eao?iii? a?eee (EA).

E??i caaaeueiii?eeiyoeo aaeoa??ieia?/ieo aeine?aeaeaiue aeii?iae- iaiue,
na/? oa e?ia?, i?iaiaeeeeny niaoe?aeuei? aaeoa??ieia?/i? aeine?-
aeaeaiiy c iaoith aea/aiiy in vitro aaciina?aaeiueiai aieeao aioa?ini?-
aaioa neeea?aea-I ia caoaeieee AE? (iiaeeea?noue aaeoa??ioeeaeii? ae??)
oa noai /ooeeaino? aei aioea?ioee?a.

Aecia/aiiy iiaeeeai? aaeoa??ioeeaeii? ae?? neeea?aea-I i?iaiaeeee aeaiia
niiniaaie. 1. Aeiaia? eoeueoo?e naeueiiiaee oa eeaan??ee ia?an?aaee
iaeii/anii ia 2 /aoee Iao?? c aeaeoeaiei iiaeeaiei na?a-aeiaeuai,
aeiaaaeyth/e a iaeio c ieo ii 1 ie caaeno neeea?aea-I ??cii?
eiioeaio?aoe??: 0,01%, 0,1% oa 1,0%. Ae?oaa iaeii/anii can?yia /aoea
Iao?? neoaeeea eiio?ieai. ?acoeueoaoe ia?an?a?a ioe?ithaaee i?ney
?ieoaoaaiiy a oa?iinoao? ai?iaeiaae 24-26 aiaeei a?coaeueii. 2. A
/aoee Iao?? c aeiaiaeie eoeueoo?aie naeueiiiaee oa eeaan??ee aeiaaa-
eyee ii 5 ie 0,01%, 0,05%, 0,1%, 0,5% oa 1,0% caaeno neeea?aea-I.
I?ney aeniiceoe?? 30 oa., 4 aiae., 12 ? 24 aiae. c eiaeii? /aoee
Iao?? ii 1 ie cieao, ui i?noea a?aeiia?aei? i?e?iai? eoeueoo?e,
aaeni?aiaai? ia neeea?ae?-I, ia?an?aaee ia oaa?ae? iiaeeai?
na?aaeiaeua. ?acoeueoaoe ioe?ithaaee i?ney ?ieoaoaaiiy a oa?iinoao?
ai?iaeiaae 24-26 aiaeei a?coaeueii.

Aeey aecia/aiiy /ooeeaino? naeueiiiaee oa eeaan??ee aei aioeaae-oa??eieo
na?aaeiee?a canoiniaoaaee iaoiae aeeooc?? a aaa? c aeei?en- oaiiyi
eiia?oe?eieo aeene?a, iane/aieo a?aeiia?aeieie o?i?ii?aia?aoa- ie.
Iiaeeeaee aieea neeea?aea-I ia /ooeea?noue naeueiiiaee oa
eeaan??ee aei aioeaaeoa??eieo na?aaeiee?a aecia/aee ca ?acoeueoaoaie
aeine?aeaeaiue, i?iaaaeaieo ia?aeaeueii c aaeni?aiaaieie ia neeea?ae?-I
i?e?iaieie eoeueoo?aie, iaea?aeaieie aeuaiienaiei niiniaii, oey- oii
ni?anoaaeaiiy c eiio?ieueieie iieacieeaie.

Iaea?aeai? oeeo?ia? aeai? ia?iaeaii iaoiaeii aa??aoe?eii? noaoenoeee
c aecia/aiiyi ianooiieo aaee/ei: na?aaeiueiai a?eoiaoe/iiai (I),
na?aaeiueiai eaaae?aoe/iiai a?aeoeeaiiy (?), noaiaea?oii? iiieeee
na-?aaeiueiai a?eoiaoe/iiai (m), eiao?oe??ioa Nouethaeaioa-O?oa?a (t),
aei-noia??iino? ??cieoe? i?ae na?aaei?ie a?eoiaoe/ieie ?yae?a (?) ca
aeaie- ie oaaeeoeue ?iciiae?eo eiia??iinoae Nouethaeaioa-O?oa?a,
eiao?oe??ioa ei?aeyoe?? (r).

Aeey aioa?ini?aoe?? aeei?enoaii neeea?ae-I – ae??aiiaeenia?niee
e?aiiacai (aeicaieaiee aeey ee?i?/iiai canoinoaaiiy o ae?oae
Oa?iaei-eia?/iei eii?oaoii IIC Oe?a?ie a?aeiia?aeii aei iaeaco ?1 a?ae
28.01.1993 ?.). Oea eaaeee aeaeeoii-a?eoaaoee ii?ioie, aac niaeo;
oa?-iino?eeee, aii?oiee, a?ae?io?eueiee.

?ACOEUeOAOE AeINE?AeAEAIUe OA ?O IAAIAI?AIIss

Aeai? ai?aeai?ieia?/iiai aiaiiaco aeathoue ciiao aaaaeaoe eiia??iei o
87,7% oai?eo ia naeueiiiaeueic aioo??oiueie?ea?iyia ?io?eoaaiiy
eiioaeoiei oeyoii. I?eaa?oa? oaaao ?icaeoie naeueiiiaeueico ia
ia-oyaeaiiio i?aii?a?aeiiio oii? o 96,6% oai?eo. Ae?aaiic naeueiiiaeuei-
co i?aeoaa?aeaeaii aaeoa??ieia?/ii: aeae?eaiiyi caoaeieea c
aeii?iae- iaiue o 100,0% oai?eo, c? na/? – o 54,1% oai?eo. O
an?o oai?eo aeae?eyeeny naeueiiiaee a?oie A, na?iaa? –
S.typhimurium.

O 49,3% (72 ?c 146) oai?eo ae?aaiinoiaaii anioe?eiaai? oi?ie
naeue-iiiaeueico. O 58 (39,7%) oai?eo niinoa??aaeeny aeaieiiiiiaioi?
aae- oa??ei? anioe?aoe??. C ieo o 27 (46,6%) oai?eo naeueiiiaeueic
ii?aeioaaa- ny c eeaan??eueiciith ?ioaeoe??th, o 16 (27,6%) – c
i?ioaeiith, o 15 (25,8%) – c? noao?eieieiaith. O 14 (9,6%) oai?eo
niinoa??aaeeny o?e-eiiiiiaioi? anioe?eiaai? oi?ie naeueiiiaeueico:
naeueiiiaeueicii-eeaa-n??eueicii-noao?eieieiaa (5 oai?eo),
naeueiiiaeueicii-eeaan??eueicii-i?ioaeia (4),
naeueiiiaeueicii-i?ioaeii-noao?eieieiaa (3) oa
naeueii-iaeueicii-neiueiai?eii-eeaan??eueicia (2 oai?eo).

Ca aeaieie a?aaeaoe?eii? (aaeueii?) ioe?iee iaea?eueo ?ioi?iaoeaieo
aea??eiaeo ee?i?/ieo neiioii?a naeueiiiaeueico, ui niinoa??aaeeny
i?e iinooieaii? oai?eo a noaoe?iia?, ?ic?iaeaii oaaeeoeth aecia/aiiy
?ioaa?aeueieo iieaciee?a nooiaiy oyaeeino? oai?iae (oaae.1). A?aeii-
a?aeii aei oeueiai iieacieea c ianoaaeaieo iaie 146 oai?eo o 112
ae?aaiin-oiaaii na?aaeiueioyaeeo, o 34 – oyaeeo oi?io naeueiiiaeueico.
E??i ioe?iee nooiaiy oyaeeino? naeueiiiaeueico, aaaaeaee ca
aeioe?eueia aeae?-

Oaaeeoey 3.1

A?aaeaoe?eia ioe?iea aea??eiaeo ee?i?/ieo neiioii?a aecia/aiiy
?ioaa?aeueiiai iieacieea nooiaiy oyaeeino? naeueiiiaeueico o ae?oae
ia?oiai ?ieo aeeooy

Ee?i?/i? neiioiieIoe?iea ee?i?/ieo neiioii?a a aaeao1 aae2 aaee3 aaee4
aaee1. Caaaeueiee noaiaeaui ii?ooaieeii?ooaieecia/ii ii?ooaieeiaaeo? c
e?eoe/iei2. Oaiia?aoo?a o?eanoaoaa?eeueia38?N -39?N39,1?N -39,9?N40?N ?
aeua1. noaii?iaeueia3. Aiaoeoaeaui cieaeaieecieaeaieecia/ii
cieaeaieeaii?aen?y4. Noai
i?e?ioee?eoeyoe??ae?ae?noue”ia?io?ia?noue”neiioii “a?ei? ieyie”, ae?i-
oa ia??i?aeueiee oe?aiiccaaaeueiee oe?aiic5. Aethaioaiaeii?aciaa3-5
?ac?aa?eueoa 5 ?ac?a”eaaiaa aoua”aeii?oee aeia/?6. Aeii?iae-iaiiy/anoioa

(ia aeiao)aei 5 ?ac?a6-10 ?ac?aa?eueoa ye 10 ?ac?acao?eiea – ia?ac
eeoieoa?aeoa???aee?, aac iaoieia?/ieo aeii?oieneec, i?iaeeeee e?ia?,
caeaiue”aieioia oaaiue”, aeii?oee e?ia?eeoeiaa e?iaioa/a7. Nooi?iue
ciaaiaeiaiiyao?aoa iane o?ea ia nooo?aa?-e (5% iane o?ea)??-e (6-9% iane
o?ea)???-e (ao?aoa iane o?ea > 10%)8. Oei
ciaaiaeiaiiy?cioii?/ieeaiaeiaeao?oeeoieenieaaeao?oeeoieeaia?ae?ai?/iee
oie9. Iae?ioieneeicianiie?ecaoaeaeaiiynoaeiiia
aioiai?noueniii?caaaeueiiaai?noue??cea caaaeueiiaai?noueno?ee? noaeiie

Ioe?iea ?acoeueoao?aNoia aae?aOi?ia oai?iaeaei 10 aae?aeaaea a?ae 11 aei
20na?aaeiueioyaeeaa?ae 21 aei 30oyaeeaiiiaae 30 aae?aaeoaea oyaeea,
caa?iceeaee aeey aeeooy noaieeoe oae? aa??aioe ia?aa?ao oai?iae: aino?ee
oeeee?/iee ? caoyaeiee (aacia?a?aiee oa oaeeaiiae?aiee). Aeii?ioth/?
e?eoa??? aino?iai oeeee?/iiai ia?aa?ao naeueiiiaeueico – oaeaeea
iiceoeaia aeeiai?ea ee?i?/ii? neiioiiaoeee i?e /?oe?e iine?aeiaiino?
oaeeo aoai?a oai?i- ae: 1-e – ?ioieneeaoe?eiee neiae?ii, ui
?icaeaa?oueny aino?i aai ia oii? i?ia?niee?a; 2-e – oa?aeoa?iee
aeeniaine/iee neiae?ii, ui ?ic- aeaa?oueny ia oii? caa?aaeaiiy
i?iya?a caaaeueii? ?ioieneeaoe??; 3-e – aeeniaine/iee neiae?ii ca
a?aenooiino? /?oeeo i?iya?a caaaeueii? ?ioie-neeaoe??; 4-e – caeeoeia?
i?iyae aeenooieoe?? eeoie, ui ia iicia/a- thoueny ia caaaeueiiio
noai? oai?iai. Caoyaeiee aacia?a?aiee ia?aa?a naeueiiiaeueico
oa?aeoa?eco?oueny no?ee?noth ee?i?/ieo i?iya?a oai?iae oa?i?iii iiiaae
10 aei?a. I?e oaeeaiiae?aiiio caoyaeiiio ia?aa?ao naeueiiiaeueico
niinoa??aa?oueny ia??iaee/ia a?aeiiaeaiiy aai iineeaiiy ?ioaineaiino?
ee?i?/ii? neiioiiaoeee, coiiaeaia caeaa?eueoiai iaoa-?oaaiiyi
oneeaaeiaiue aai noia??ioaeoe??th.

Aeey aecia/aiiy aca?iica’yceo nooiaiy oyaeeino? ee?i?/ieo oi?i
naeueiiiaeueico oa aa??aio?a ia?aa?ao oai?iae c ia?aee?i?/ieie oanoa-
ie, ui a?aeaeca?eaeththoue nooi?iue oieneei-iaoaaie?/ieo c?ooaiue,
noai eieaeueieo iaoai?ci?a ?ioiieia?/iiai caoenoo oa OAI, ni?aanoaaeaii
cia/aiiy oeeo iieaciee?a a a?oiao oai?eo ia na?aaeiueioyaeeo oa
oyaeeo oi?ie naeueiiiaeueico. I?e oeueiio c’yniaaii ianooiia.

I?aeaeuaiiy ai?noo INI a ne?iaaooe? e?ia? – iaae?eiee e?eoa??e ioe?iee
nooiaiy oyaeeino? ee?i?/ii? oi?ie naeueiiiaeueico oa ?iaeeeaoe??
?ioaineaiino? oieneei-iaoaaie?/ieo c?ooaiue, aea oeae iieaciee ia
iiaea aooe aeei?enoaiee ia ii/aoeiaeo aoaiao caoai?thaaiiy ye oano
i?iaiicoaaiiy aa??aioa ia?aa?ao naeueiiiaeueico (aeo?aei? na?aaei?
ii-eacieee ai?noo INI a ne?iaaooe? e?ia? a iaaeao a?oi oai?eo ia
na-?aaeiueioyaeeo oa oyaeeo oi?ie naeueiiiaeueico ia ??cieeeny caeaaeii
a?ae aa??aioa iiaeaeueoiai ia?aa?ao oai?iae).

Ine?eueee i?e aaeoa??ieia?/ii i?aeoaa?aeaeaieo AE? o ae?oae ?aiiueiai
a?eo ca aeaieie aeine?aeaeaiiy eii?io?eueo?ao?a iaoiaeii ?OA nia-
oeeo?/i? aioeo?ea iaeaaeaoue aei eeano ?ioiiaeiaoe?i?a A
(E.A.Oaeai-aa?eaeca, A.E.Oa/aaa, 1988), ca aeaieie aeeiai?ee ?o ai?noo a
eii-?io?eueo?aoao iiaeia ioe?ieoe ?ioiieia?/io ?aaeoeai?noue i?aai?cio
oa aeaoe ioe?ieo iaaiiio iaoiaeo e?eoaaiiy.

I?e iinooieaii? a noaoe?iia?, a ia??iae? ii/aoeiai? iai?oanoaoe??
ee?i?/ieo i?iya?a oai?iae, o oai?eo ia na?aaeiueioyaeeo oi?io
naeue-iiiaeueico aeyaeaii neio?iiia i?aeaeuaiiy ai?noo a
eii?io?eueo?aoao ye IgA, oae ? S?gA. I?e oyaee?e oi?i?
naeueiiiaeueico noaoenoe/ii a??ia?aeiiai i?aeaeuaiiy ai?noo S?gA a
eii?io?eueo?aoao ia niin- oa??aa?oueny. Oea iiaea aooe coiiaeaii
iaaeinoaoi?i neioacii ai?oae?aeueieie ee?oeiaie cia/ii o?aaeaii? i?e
oyaee?e oi?i? naeue-iiiaeueico neeciai? iaieiiee eeoie neeaaeiai? S?gA –
a?eueiiai nae-?aoi?iiai eiiiiiaioa. A aeeiai?oe? oai?iae i?e aino?iio
oeeee?/iiio ia?aa?ao na?aaeiueioyaeei? oi?ie naeueiiiaeueico ye ia 5-7,
oae ? 10- 14 aei? e?eoaaiiy, ai?no S?gA oa IgA
i?aeaeuo?oueny (o ii??aiyii? c eii-o?ieai oa aeo?aeieie aeaieie). I?e
caoyaeiiio oaeeaiiae?aiiio ia?aa?ao na?aaeiueioyaeei? oi?ie
naeueiiiaeueico i?aeaeuai? ia 5-7 aeaiue e?eoaaiiy na?aaei?
iieacieee ai?noo S?gA oa IgA ia 10-14 aeaiue e?eoaaiiy cieaeothoueny o
ii??aiyii? c iiia?aaei?i aeine?aeaeaiiyi ? ia a?ae??ciythoueny a?ae
aeo?aeieo aeaieo (?>0,05). I?e caoyaeiiio aacia?a- ?aiiio ia?aa?ao
naeueiiiaeueico ai?iaeiaae aeaioeaeiaaiai ia??iaeo niin-oa?aaeaiue, ia
a?aeiia?aeieo aoaiao i?iaaaeaieo aeine?aeaeaiue (5-7 ? 10-
14 aei? e?eoaaiiy) ia eiinoaoiaaii noaoenoe/ii a??ia?aeii? ??cieoe?
ii-eaciee?a /anoioe aeyaeaiiy oa ai?noo ??ciiaeae?a ?ioiiaeiaoe?i?a
eeano A a eii?io?eueo?aoao. Ee?i?/ii oae?e aeeiai?oe? iieaciee?a
ei- eaeueiiai aoii?aeueiiai ?ioi?oaoo a?aeiia?aea? oi?i?aei?noue i?iya?a
aeen-iaine/iiai neiae?iio, ui iai?oanoo?oueny ia oii? iii??ii ae?aaeaieo
no?eeeo neiioii?a caaaeueii? ?ioieneeaoe??.

A aeeiai?oe? oai?iae i?e aino?iio oeeee?/iiio ia?aa?ao oyaeei? oi?ie
naeueiiiaeueico, ia oii? /ano?oiai aeyaeaiiy a eii?io?eueo?a- oao
?ioiiaeiaoe?i?a eeano A, iinooiiai i?aeaeuothoueny na?aaei? iieac-
ieee ai?noo IgA oa S?gA. Ia 10-14 aeaiue e?eoaaiiy oe? iieacieee
noa-oenoe/ii a??ia?aeii aeu? a?ae aeo?aeieo (?
0,05>0,050,050,050,05

I?ei?oee: * – a?aei?iiino? a??ia?aei? ii??aiyii c iiia?aaei?i
aeine?aeaeaiiyi,

** – a?aei?iiino? a??ia?aei? ii??aiyii c aeo?aeieie aeaieie.

A?eueoa /anoioa aeyaeaiiy oa aeu? na?aaei? iieacieee ai?noo SIgA a
eii?io?eueo?aoao i?e canoinoaaii? a eiiieaeniiio e?eoaaii? oai-
?eo ia naeueiiiaeueic neeea?aea-I (oaae.2) na?ae/aoue i?i aeinoaoi?e
nei- oac ?o e?ioi?aeieie ee?oeiaie oiiei? eeoee oa
ooieoe?iiaeueio ni?i-iiaei?noue ai?oae?aeueieo ee?oei neeciai? iaieiiee
eeoie uiaei i?i- aeoeoe?? a?eueiiai nae?aoi?iiai eiiiiiaioa. Oaeo
eieaeueio ?ioiio a?aeiia?aeue iiaeia ioe?ieoe ye aaeaeaaoio, ui
i?aeoaa?aeaeo?oueny eiinoaoi- aaiith o oeeo oai?eo iaeii/aniith
iiceoeaiith aeeiai?eith ee?i?/ieo neiioii?a oai?iae oa ia?aee?i?/ieo
oano?a ?iaeeeaoe?? nooiaiy oieneei-iaoaaie?/ieo c?ooaiue. ? oi/
?acoeueoaoe i?iaaaeaieo aeine?aeaeaiue ia aeathoue ciiao
eaoaai?e/ii aeeeth/eoe iiaeeea?noue iaaaaeaiiai aieeao neeea?aea-I ia
ie?ai? eiiiiiaioe eieaeueiiai ?ioi?oaoo, noia?iee iiceoeaiee aoaeo
i?aia?aoo ia eieaeueiee ?ioi?oao aacia?a/iee.

Aeey c’ynoaaiiy aieeao neeea?aea-I ia /anoioo iicaeeoeiai? o?aineieaoe??
naeueiiiaee ca aeaieie iiceoeaii? o?eiieoeueoo?e ni?anoaaeaii
a?aeiia?aei? iieacieee o oai?eo a?oi ii??aiyiiy. Oae, c 60 oai?eo, a
e?eoaaii? eio?eo canoiniaaii neeea?ae-I ona?aaeeio oa ye eiiiiiaio
??aeei aeey i?iieaaiiy oeoiea ? eeoie, a aeeiai?oe? oai?iae
o?eiieoeueoo?a aoea iiceoeaiith eeoa o 23 (38,3%) oai?eo, a c 52
oai?eo eiio?ieueii? a?oie – o 33 (63,5%) oai?eo. A??ia?aeii iaioa
/anoioa iicaeeoeiai? o?aineieaoe?? naeueiiiaee ca aeaieie iiceoeaii?
o?eiieoeueoo?e i?e aeeth/aii? neeea?aea-I a eiiieaenia e?eoaaiiy
oai?eo ia naeueiiiaeueic (38,3% i?ioe 63,5%; P

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